Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3164 | SC |
NPI | 1003922774 |
---|---|
Provider Name | Dr. Renee Lynn Hunter |
First Address | Hanahan, SC 29410-8576 |
Second Address | Goose Creek, SC 29445-5336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 24/01/2017 |